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Organization
WEST ATLANTA INTERNAL MEDICINE PC
Active
Organization
WEST ATLANTA INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEXANDER JOHNSON MD (MEDICAL DIRECTOR/OWNER)
(770) 942-6903
Entity
Organization
Contact information
Practice address
6128 PRESTLEY MILL RD, SUITE G, DOUGLASVILLE, GA 30134-5621
(770) 942-6903
(770) 942-6908
Mailing address
6128 PRESTLEY MILL RD, SUITE G, DOUGLASVILLE, GA 30134-5621
(770) 942-6903
(770) 942-6908
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
046866
GA
Other
Enumeration date
01/17/2013
Last updated
01/28/2013
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